Individual
MS. BRIDGETTE DENISE AGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5112 SUMMER BROOKE LN, LAKELAND, FL 33811-2679
(863) 712-2041
Mailing address
5112 SUMMER BROOKE LN, LAKELAND, FL 33811-2679
(863) 712-2041
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
APRN11015126
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11015126
FL
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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